The authors have no financial interests to disclose

Recentering of ReZoom IOL by Suturing Technique to Optimize Visual Acuity

Francis A. D’Ambrosio Jr., M.D.Lisa M. Wilson, O.D.

Lancaster, MA

Original surgery was 2 months earlier and was complicated by a capsule tear necessitating sulcus placement.

Original post-op vision was 20/20 with a well centered IOL. The vision decreased to 20/40 with poor multifocal function as the lens de-centered nasally.

Surgical intervention was necessary to center the IOL with suturing.

62 yo white male with a decentered ReZoom IOL OS causing decreased vision

Peribulbar anesthesia was utilized.

After conjunctival dissection, a posterior limbal scleral corneal incision was made temporally.

Surgical Technique

Viscoelastic (Amvisc Plus/Bausch&Laumb) was placed anterior and posterior to the IOL.

The first arm of a double armed 10-0 Prolene suture on a spatula straight needle (Ethicon 1713G) was passed 3mm posterior to the limbus into the anterior chamber.

Surgical Technique

The first arm of the double armed suture exiting through clear cornea.

Surgical Technique

The second arm entering the eye 1mm from the first suture.

Surgical Technique

The second arm exiting through clear cornea.

Surgical Technique

After the needles were cut off, a Sinskey hook was used to bring the sutures out of the eye through the scleral corneal incision.

Surgical Technique

After bringing the temporal haptic out of the eye using the Sinsky hook, the two cut sutures are tied to the haptic.

Surgical Technique

The knot ends are trimmed and the haptic is placed back in the sulcus

Surgical Technique

The distal end of the suture is now cut and a single knot is gently fastened to bring the temporal haptic to the sclera and center the IOL.

After the IOL is centered the knot is completed and the ends are trimmed to 1mm in length.

Surgical Technique

Centered IOL

Post surgery the IOL maintains its centered position and the vision returns to 20/20- with good multifocal function.

Result